Podcasts about adverse childhood events

08/18/24The Healthy Matters PodcastS03_E20 - From Hurt to Healing:  The Power of Being Trauma-InformedToday, we're diving into a topic that's crucial but often overlooked: adverse childhood events (ACEs), and trauma-informed care (TIC). According to the CDC, nearly two-thirds of all U.S. adults have experienced one or more ACEs. That's how common they are, and the effects of these adverse events can add up over time. Many of us may not realize how deeply early experiences of stress, neglect, or trauma can shape not only our mental health but also our physical well-being. These early events leave a lasting imprint, whether through relationships, behaviors, or even how our bodies respond to stress. The good news? There's a growing movement toward trauma-informed care, which shifts the focus from asking 'What's wrong with you?' to 'What happened to you?' It's about creating a supportive environment that fosters healing and resilience.On Episode 20, we're talking about different types of traumas, and how trauma-informed care is a unique and very effective approach to help people get through the toughest times. Joining us is Dr. Mitch Radin, he's a Clinical Psychologist and an expert on trauma-informed care at Hennepin Healthcare. We'll cover the elements of TIC, how they work, and how this approach is making a difference not only with patients but also with healthcare professionals. Did you know you can control your heart through your lungs? Or have you ever heard the analogy that your brain is like a rider and a horse? We cover both of these things too! Please join us!Got a question for the doc or a comment on the show?Keep an eye out for upcoming shows on social media!Email - healthymatters@hcmed.orgCall - 612-873-TALK (8255)Find out more at www.healthymatters.org

Here in this Episode with special Guest, Dr Izabella Wentz, we (Robert Kress and Kay Corpus) chat with Izabella, on her story which has taken her through her healing path, her personal and professional journey in overcoming Hashimoto's disease and how she has used her experience and research in doing so to help tens of thousands of other people through her books, programs and consultations. We talk about role stress plays in overall health, or disease, trauma and Adverse Childhood Events, regaining health and vitality when conventional medicine has no answers, through functional and lifestyle medicine.

Guest: Dr. Tracey Weise, ARPN, Clinical Director Identity Wellness in Anchorage, Alaska Dr. Weise joins Auntie Vice to talk about what competent care for LGBTQ+ folks looks like in a medical setting. After working for six years as a forensics nurse, Tracey returned to school to get certified in mental health. She has a deep understanding of the how much trauma members of the LGBTQ+ community carry and how important it is to be competent when treating folks in this population. We chat what competence looks like (hint: it isn't just putting a rainbow flag sticker on your site), and what we should expect from healthcare providers. She talks about Adverse Childhood Events, how they change the brain and body of everyone long term, what trauma-informed medicine looks like, and about starting Alaska's only gender and queer specific healthcare center. She is just awesome! Your should definitely listen. SItes and Socials Identity Health Alaska LGBTQ Heroes Profile Identity Alaska IG ----more----Other mentions on this episode   Big Queer Book Club on Discord Sweet and Rough by Sinclair Sexsmith T!tty Fkn article  

Neurology Today Editor-in-chief Joseph E. Safdieh, MD, FAAN, discusses new studies on a promising potassium channel opener for refractory epilepsy; the impact of adverse childhood events in headache disorders; and excessive engulfment by microglia/astroctyes in dementia.

Olivia Grigg shares her experience of Christianity and the spiritual trauma that it caused her, and gives her take on religious trauma as a whole from her perspective as a social worker and counsellor focused on helping people navigate changing beliefs, deconstruction, and that religious trauma. She discusses how many church environments force us to betray ourselves in many ways, from an early age, and normalize the lack of boundaries, portraying that lack of boundaries and submission to church authority as a necessary prerequisite to community. Additionally, she dives into the normalization of physical abuse of children in the form of spanking, how that abuse is advocated by Christian groups like Focus on the Family, and how that can have long-lasting effects even into adulthood.Content warnings: traumatic religious experiences, physical abuse of childrenFind Olivia on Instagram at @oliviagrigg.rsw, or her website https://www.oliviagriggrsw.ca/.Resource list for further reading on Adverse Childhood Events provided by the CDC:https://www.cdc.gov/violenceprevention/aces/resources.htmlArticles describing evidence for spanking causing higher levels of stress for adults: https://scholarcommons.sc.edu/cgi/viewcontent.cgi?article=1533&context=senior_theseshttps://www.sciencedirect.com/science/article/pii/S0145213417300145?via%3DihubHillary McBride's Holy/Hurt Podcast:https://holyhurtpodcast.com/ 

Cynthia Thurlow is a passionate nurse practitioner, podcast host, and wellness expert with a dedication to helping women of all ages achieve optimal hormonal health. As the host of the Everyday Wellness podcast, Cynthia has made it her mission to empower women with the knowledge and tools they need to maintain a healthy balance in their lives. With her extensive experience in the healthcare field and a deep understanding of the complexities of hormonal health, Cynthia is the perfect guest to join Dr. Stephanie Estima for an Ask Us Anything episode covering a range of hormone topics.Links for this episode:https://cynthiathurlow.com/https://www.youtube.com/cynthiathurlowhttps://cynthiathurlow.com/podcast/https://www.instagram.com/cynthia_thurlow_/The key moments in this episode are:00:00:00 - Factors Affecting Body Fat Percentage,00:02:45 - Ask Us Anything,00:05:16 - Weight Training with Diastasis Recti,00:11:59 - Postpartum Body and Rehabilitation,00:15:08 - Understanding the Risks and Benefits of the Gardasil Vaccine,00:20:19 - Natural Hormone Balance for Hashimoto's Patients,00:24:39 - Differential Diagnoses for Low Estrogen in Hashimoto's Patients,00:29:20 - Understanding the Importance of a Full Medical History,00:29:58 - Iodine Supplementation for Seafood Intolerance,00:34:41 - Reversing Thyroid Medication Dependency,00:39:11 - Adverse Childhood Events and Autoimmune Disease,00:40:48 - Being Real in a Big Platform,00:43:48 - Moving from First Person to Third Person,00:44:57 - Ideal Body Fat Percentage for Menopausal Women,00:54:34 - Copper IUD and Menstrual Symptoms,00:58:57 - Fertility Awareness Method,00:45:30 - Importance of Body Fat Percentage,00:47:33 - Impact of Hormones on Body Fat,01:00:17 - Tips for Undisturbed Sleep,01:01:18 - Sleep Starts When You Wake Up,01:03:08 - Load Management,01:08:52 - Progesterone and Sleep.We'd like to thank our sponsors:Athletic Greens - redeem an exclusive offer hereFourSigmatic Use code DRSTEPHANIE for 10% offOrion Red Light Therapy - Use the code STEPHANIE10 for 10% offSchinouusa - Use code DR.ESTIMA10 for 10% offBIOOPTIMIZERS - receive 10% off your order with Promo Code "ESTIMA"The DNA  Company - $50 discount using code "DRSTEPHANIE" at checkout.HVMN Ketones - get 10% off your order with Promo Code “STEPHANIE”ILIA BeautyLiving Libations - Use code BETTER for 15% offLMNT Electrolytes - A FREE 7-flavor sample pack!PRIMEADINE - get 10% Off your Order with Promo Code “DRSTEPHANIE10”Follow Me On InstagramWatch Better! on YouTubeGet yourself a copy of my best-selling book, The Betty Body

Dr. Philip Richmond vulnerably shares his journey with alcohol substance abuse, and how he takes lessons learned to help colleagues through vital peer support. He shares the importance of clear communication, the needed ongoing effort to work on ourselves, assuming good intent, and the power of positive emotions. This episode digs deep with heart touching stories and an empathic approaches to well being in the veterinary profession. As Philip shares in the podcast one of his favorite quotes: “Be curious, not judgemental” - Walt Whitman   *Trigger warning* hey all, a quick heads up that some of the content in today's episode may include a trigger as it relates to alcohol and substance abuse disorder, childhood trauma, and suicidal ideations. As a reminder, the VIN Foundation's confidential support group Vets4Vets® is here for you and you can find information to reach out in the episode notes. please know, you are not alone.    GUEST BIO: Philip Richmond, DVM, CAPP, CPHSA, CPPC, CCFP  Dr. Richmond is the Chief Medical & Wellbeing Officer for Veterinary United and the Founder of Flourishing Phoenix Veterinary Consultants. He is an advocate for positive culture and individual, team and organizational psychological health, safety, and wellbeing in veterinary workplaces.   Dr. Richmond both leads and is involved in state, national and international projects for the advancement of workplace wellbeing and culture in veterinary medicine. He currently serves as the chair for both the Florida Veterinary Medical Association's Outreach and Professional Wellbeing Committees and is a member/advisor for several national committees and boards for workplace suicide prevention and veterinary wellbeing, including those sponsored by the CDC/NIOSH, the American Foundation for Suicide Prevention, AAHA, Fear Free, MentorVet and Appalachian State University.   Dr. Richmond is a speaker and published writer, a frequent veterinary podcast guest, and holds multiple certifications in the fields of applied positive psychology, appreciative inquiry, workplace wellbeing, psychological health & safety, trauma-informed workplaces, resilience training, behavior change, and suicide prevention. He was awarded the FVMA Gold Star for service in 2019 and FVMA Veterinarian of the Year in 2021.   LINKS AND INFORMATION: About Dr. Philip Richmond: https://www.linkedin.com/in/drphilrichmond/ VIN Foundation Vets4Vets®: https://vinfoundation.org/v4v Veterinary Hope Foundation: https://veterinaryhope.org/ Adverse Childhood Events: https://numberstory.org/ Instead of what's wrong with you, what happened to you? https://www.youtube.com/watch?v=eNIJBT5q0nI VIN Foundation get updates: https://vinfoundation.org/updates/ If you enjoy listening to this podcast and want to support these efforts, please consider making a donation to the VIN Foundation: https://vinfoundation.org/give   You may learn more about the VIN Foundation, on the website, or join the conversation on Facebook, Instagram, or Twitter.   If you like this podcast, we would appreciate it if you follow and share. As always, we welcome feedback. If you have an idea for a podcast episode, we'd love to hear it!

Many books have been written about TCKs and some of the challenges and benefits of expat life for kids.  But recent research puts numbers and specific outcomes to some of these factors, and the results might surprise you.    In a study done on Adverse Childhood Events, TCKs had significantly more ACEs than their counterparts in their home country.  These are predictive of a number of issues both mentally and physically.  Soft research suggests that 85% of TCKs experience some sort of depression or anxiety.  That is SIGNIFICANTLY higher than their monocultural counterparts.  That's just one outcome of the TCK life.  Tanya Crossman has done research TCKs for years and breaks down the research for us.  But what I love about Tanya is that she shares not just the difficult news of how this life may be affecting our children, but also the hope of how we can prevent some of these experiences for TCKs.  I love her line, "We believe that TCK life can be conducive to good mental health."    It's possible, but it does require awareness and proactive work of expat parents.  I hope you enjoy this interview and Tanya's wealth of knowledge. Connect with Tanya Crossman Cross-cultural consultant, TCK/CCK advocateAuthor of Misunderstood: The Impact of Growing Up Overseas in the 21st Centurywww.tanyacrossman.comwww.facebook.com/misunderstoodTCKwww.twitter.com/TanyaTCKtcktraining.com/researchFree Coaching Session with Jennie LintonSign-up for a free coaching session.  It can make a challenging relationship with a child into one of connection.  It can make the resentment of expat life into a rich experience. It can help make a struggling marriage better, and good marriage amazing.  It can take you from feeling overwhelmed to feeling better.ScheduleOne-Minute WisdomEach week I carefully craft a short perspective shift or tool that you can read in about a   minute or two.  You can sign up here.Follow me on Instagram or find more free resources on my websitePlease leave a review on your favorite podcast app.  It helps other people find it!

On this episode, we take a closer look at trauma-informed approaches to education, criminal justice, and even our everyday lives. WHQR's Rachel Keith, who just published a three-part series on ACEs, joins us to dig deeper into the issue.

How Adverse Childhood events affect Adulthood. Join my guest, Sean McNicholas, to discover how certain events affect us. It is odd that, sometimes, it affects one child, but not the other. There are blockages in your life that are keeping you from success, Sean will uncover how and why you are frozen in time and how to release yourself to freedom and peace of mind. www.newmetherapy.com

We are seeing the numbers of children struggling with emotions skyrocketing, and as a trauma psychiatrist, it makes sense to me.  Traumas create predictable patterns in our psychological and biological health.  The pandemic was/IS a shared, global trauma that all humans experienced, and if a large number of "adults" are struggling with "post-" traumatic mental health effects, then of course, the children are suffering, too.  In this episode, we will dive into 3 common challenges for children who have experienced ACES: Tantrums, Trouble-making and Trust-issues, and address how Empathy (LOVE) can help them heal.ACEs (Adverse Childhood Events) are surprisingly common in the US. About 61% of adults surveyed across 25 states reported they had experienced at least one type of ACE before age 18, and nearly 1 in 6 reported they had experienced four or more types of ACEs.experiencing violence, abuse, or neglectwitnessing violence in the home or communityhaving a family member attempt or die by suicideAlso included are aspects of the child's environment that can undermine their sense of safety, stability, and bonding, such as growing up in a household with:substance use problemsmental health problemsinstability due to parental separation or household members being in jail or prisonPreventing ACEs could potentially reduce many health conditions. For example, by preventing ACEs, up to 1.9 million heart disease cases and 21 million depression cases could have been potentially avoided.https://www.cdc.gov/violenceprevention/aces/index.htmlBe aware of the power of words and the way the amygdala can pull even adults into saying things in a heated emotional state that we cannot “erase” even when We retract.  Having empathy for the Child's internal experience. See Your Self as they might experience you.  Become a corrective experience.Look with Suspended JudgmentObserve the emotions in all parties involvedValidate the differing yet EQUAL experience of the OtherExpress Your Self SKILLFULLY, Creator!To learn more how to AIM for better Mental Health and self-heal from trauma in 2023, Join me for The Trauma CURE : Creators Using Radical Empathy 3 Day Live Virtual event on March 9 - 11, 2023 from 10 - 4 pm CST.  Support the showTrauma hurts. Empathy heals.www.dralauna.comFollow @dralauna on Social Media: Facebook, Instagram, and LinkedIn

On this, the first installment of our collaboration with the Ohio Journal of Public Health, Dan talks with Drs. Dean VanNasdale and Andy Wapner of Ohio State University about the state of vision care in Ohio, especially in light of Ohio's decision, in 2014, to expand it's Medicaid program as part of the Affordable Care Act. Plus, a new installment "Things You Need to Know," focusing on Adverse Childhood Events, produced in collaboration with the Center for Community Solutions. Interview starts at 3:52. Read VanNasdale et al's full paper in the Ohio Journal of Public Health. You can learn more about health insurance and eye care from Prevent Blindness. You can also read more about our guests, Dean VanNasdale and Andy Wapner. This episode was produced by Dan Skinner. Editorial and production support from Angela Lin. Special thanks to Patti Carlyle at Community Solutions for help with the Things You Need to Know segment. For show notes and episode archive, visit prognosisohio.com. Prognosis Ohio is a member of WCBE Podcast Experience and the Health Podcast Network.

About or guest today , Dr. Garner earned his bachelor's degree in psychobiology from Swarthmore College in Swarthmore, Pa. He earned a PhD in Neuroscience in 1996 followed by a Doctor of Medicine with distinction in neuroscience from Case Western Reserve University School of Medicine in 1997. He completed a residency in pediatrics at The Children's Hospital of Philadelphia. A national expert on early brain development and the factors affecting it, Dr. Garner has been an invited lecturer at numerous national and international pediatric professional meetings and conferences, speaking on topics such as the impact of stress and trauma on the developing brain. He also has published extensively on early brain development in pediatric medical journals and neuroscience journals. With grants from the Woodruff Foundation, a Cleveland-based foundation that supports quality mental health care services in Cuyahoga County, and the American Academy of Pediatrics, Dr. Garner has worked to improve access to mental health services.Please subscribe to our podcast on apple or amazon and give us a great review. You can make suggestions for guest and topics on our web site below. Thanks for listening. Follow us on social media YouTube, Instagram, Web PageThe Pediatric Lounge - A Podcast taking you behind the door of the Physician's Lounge to get a deeper insight into just what docs are talking about today, from the clinically profound to the wonderfully routine...and everything in between.The conversations are not intended as medical advice and the opinions expressed are solely those of the host and guest.

In this episode, we are going to talk about exploring this question: "Am I safe here"? I heard this question on a podcast from the Truth Doctor and it has revolutionized my thought process related to how I process my emotions, trauma and my condition.  I also spoke about ACEs or Adverse Childhood Events and I encourage you to be sure to do things that make you comfortable and safe while you explore this concept. For more informationon ACEs, check out: https://www.cdc.gov/violenceprevention/aces/index.html  

You heard a little about ACE scores in Episode 3. In today's episode, Dr. Elfar, explains more on what ACE scores are, how it can impact us as adults, and where to seek help for childhood traumas. Instagram: @josephelfar.mdResources:Get Help: PsychologyTodayTake an ACE test here________________________________________________________________Did you love this episode? BUY ME A COFFEE for support!Find me on Instagram@balkanina@mamaknowspodcastFind me on TikTokBalkaninaSubscribe to my NewsletterPrivate Facebook Motherhood-Podcast CommunityMama Knows FBDisclaimer: This podcast does not provide any medical advice, it is for informational purposes only!

I know this is a topic that might cause some controversy, but I think this is an important one to have. When it comes to parenting, I always suggest we follow our gut and trust ourselves, however, given the strong evidence that suggests we should avoid using physical punishment with our children, not spanking our children is something that I stand firmly behind. In today's solo episode with Cindy (which also happens to be our 50th episode!), we discuss why physical punishment may lead to several outcomes when our children are adults. If you would like to learn more about Adverse Childhood Events mentioned in this episode, please click below:https://www.cdc.gov/violenceprevention/aces/index.htmlIf you would like to follow us on Instagram @curious_neuron click below:https://www.instagram.com/curious_neuron/**If you rate and leave a review for our podcast, please send me a DM on Instagram or email me info@curiousneuron.com and I will send you one of our parenting toolkits from our Academy!The study I referenced in our episode can be viewed with the link below:Thompson et al. European Child & Adolescent Psychiatry. 2003One more article about physical punishment is below:Pediatrics 2012;130:1–9

In part two of our conversation on suicide prevention in juvenile detention centers, Dr. Leah Saulter, describes the limited resources and high burnout rates of staff. Suicide alerts require extra attention. For some young people, manipulating the staff may be a cure for boredom or an opportunity for secondary gain. However, many of the threats are legitimate, and, even if the threat of suicide is a form of manipulation, it can still be a highly dangerous ploy. Additionally, you cannot talk about suicide rates in youth correctional institutions and not ask yourself, "How did these young people wind up in these spaces to begin with?" 47.4% of youth in the Texas Juvenile Justice System have had four or more Adverse Childhood Events. 

On this month's episode, we talk with Lin Chang, MD, Vice Chief of the Division of Digestive Disease at UCLA about sex differences in IBS and somatic pain syndromes, the role of stress and Adverse Childhood Events in chronic illnesses and so much more!

This month we are joined by expert guest Dr Lin Chang to discuss gender/ sex differences in IBS and the role of stress.

Welcome back to Parenting Unpacked! This week we interviewed Candace St John. Candace St. John is a mom of one and a public health practitioner who studies the effects of equity, social determinants of health, & adverse childhood experiences and trauma on lifetime health. Upon having a baby in June 2020, she was taken aback by the unsubstantiated evidence behind most mainstream parenting ideals. She took to social media to bust myths & support parents to make the best informed choices for their children to thrive. Candace strives to weave in her public health expertise for advocacy and educational purposes, and is excited to work 1:1 with families. We talked with Candace about the role of public health in parenting, the lack of evidence based information prolific in the health care sector as well as normative parenting resources. We also talked through biologically normal infant sleep, bedsharing and ACEs (adverse childhood events). You can find Candace at her website, instagram and TikTok. Links to things we discussed this episode: https://numberstory.org https://www.cdc.gov/violenceprevention/aces/index.html

“We would like to acknowledge that this conversation was recorded on the traditional lands of the Wurundjeri people and pay my respect to Elders both past, present and future.”Our guest Rachel Reilly lives and work on Kaurna Country, and pays her respects to Elders past, present and emerging.We would also like to acknowledge the cultural authority of my Aboriginal and Torres Strait Islander colleagues who have led this project, and provided guidance and support for me throughout.The project team comprises a team of Aboriginal and non-Aboriginal researchers with an extraordinary depth of knowledge. Their bios are on the NIMAC website below.Lastly, we acknowledge and thank the participants in the research, who by generously sharing their knowledge have enabled this project to exist.In this episode, we chat with Rachel Reilly who is a senior research fellow from the South Australian Health and Medical Research Institute about her work in Aboriginal health and the development and research of an app to help Aboriginal and Torres Strait Islander people with the harmful impacts of Ice use. Rachel & Jack are not Aboriginal and have sort the blessing to publish this conversation from Professor James Ward, who is a Pitjantjatjara and Nukunu man and lead researcher on this project. Professor James Ward is a Pitjantjatjara and Nukunu man, an infectious diseases epidemiologist and a national leader in Aboriginal and Torres Strait Islander research. He is currently the Director of the Poche Centre for Indigenous Health at The University of Queensland.Holding various roles over the last 25 years in Aboriginal public health policy for both government and non-government organisations, in urban regional and remote communities he has built a national program of research in the epidemiology and prevention of infectious diseases, with a particular focus on STIs, HIV and viral hepatitis in Aboriginal and Torres Strait Islander communities.Professor Ward has previously worked at the Kirby Institute, University of New South Wales, Baker IDI in Alice Springs and the South Australian Health and Medical Research Institute. He has served on numerous national and international committees including currently the Communicable Diseases Network of Australia, the Australian National Council on Alcohol and Drugs, the CDNA COVID-19 Working Group and the Aboriginal and Torres Strait Islander COVID-19 Taskforce. He has over 120 publications and leads several large scale public health and infectious diseases studies.   Links to the project and other helpful information. Project website:www.wecandothis.com.au www.nimac.org.au https://www.facebook.com/1wecandothis For service providers interested in using the app with clients, and providing feedback to us: Contact me: rachel.reilly@sahrmi.com Social determinants: Broadly, social determinants are the circumstances in which people grow, live, work and age (WHO 2008). ... For Aboriginal and Torres Strait Islander people, the social determinants of health also include factors such as cultural identity, family, participation in cultural activities and access to traditional lands. I've attached a poster that summarises some of the findings from our conversations with people about their experiences with methamphetamine. A summary of intergenerational trauma narrated by Jack Charles is here:https://www.youtube.com/watch?v=Y-RaB19D13E The US research on Adverse Childhood Events is summarised here:https://www.cdc.gov/violenceprevention/aces/index.htmlIt includes a neat little YouTube video on the site that gives a nice summary. Info sheet on trauma-informed services for Aboriginal and Torres Strait Islander people (Judy Atkinson):https://earlytraumagrief.anu.edu.au/files/ctg-rs21.pdfhttps://aifs.gov.au/cfca/2013/08/13/growing-our-children-up-strong-and-deadly-healing-for-children-and-young-people-2 _________________________We have a new book! Grab the Special Offer here: https://www.connectionbasedliving.com/11STEPSBOOKIf you or a loved one needs help beating addiction, you can visit www.connectionbasedliving.com.au If you want to check out more about Real Drug Talk & Everything we do you can visit us at our website, www.realdrugtalk.com.au We would love it if you followed us on social media to keep supporting the message. Our social media handle is @realdrugtalk on socials. 

*TRIGGER WARNING* some of the content in this episode may include triggers for topics including: Adverse Childhood Events also known as ACEs, animal abuse, and interpersonal violence, including child abuse and domestic violence. As a reminder, if you are a veterinary student or veterinarian, the VIN Foundation's confidential peer-to-peer support group vets4vets® is here for you, at no cost, please know, you are not alone. Call (530) 794-8094 or visit the website to schedule a session: https://vinfoundation.org/resources/vets4vets/   Listen in as VIN Foundation Executive Director Jordan benShea has a conversation with Vets4Vets® team member Dr. Susan Cohen about suicide risks in the veterinary profession, how adverse childhood events play a role, and the impact of perfectionism. This episode kicks off the Veterinary Pulse's Inhale, Exhale Series on mental wellness in the veterinary profession. Learn the warning signs of mental distress, what to do if you or someone you know is struggling with thoughts of suicide, and where to go for help.   GUEST BIOS: Dr. Susan P. Cohen Susan has been called a pioneer in the fields of pet loss, human-animal interaction, and the human side of veterinary practice. Since 1982 Dr. Cohen has helped pet lovers make decisions about the illness of their pets. She developed the first-ever Pet Loss Support Group and began an animal assisted activity program that took the then-unusual form of having volunteers work with their own pets. She originated many training programs for workers in the veterinary and social service fields, and she has been a field instructor for several schools of social work. She has written several book chapters and scholarly articles on social work, veterinary practice, and the human-animal bond. Her most recent book chapter, “Loss, Grief, and Bereavement in the Context of Human-Animal Relationships” (Susan Cohen, DSW; and Adam Clark, LSW, AASW) was published in 2019. She is currently working on a chapter on pet loss for Routledge's International Handbook on Human-Animal Interaction. These days she consults with veterinary groups on client and professional communication, compassion fatigue, and how to make practice fun again. She facilitates online support groups for veterinarians, animal welfare workers, managers, and those grieving the loss of a pet. She teaches online workshops and lectures widely to veterinary colleges and conferences, colleges of social work, veterinary technician programs, and human health groups on communication, pet loss and bereavement, human-animal interaction, client relations, compassion fatigue, and career development. She is Vice Chairperson of SWAHAB (Social Workers Advancing the Human-Animal Bond), the first such committee of the National Association of Social Workers. Her work has been featured in The New York Times, The Wall Street Journal, The New Yorker, and Smithsonian Magazine. In addition, she has made numerous television and radio addresses nationwide, including “The Today Show,” "20-20," and "The Oprah Winfrey Show."   LINKS AND INFORMATION: Suicide Prevention Hotline: 800-273-8255 https://suicidepreventionlifeline.org/how-we-can-all-prevent-suicide/ VIN Foundation Vets4Vets® and Support4Support:: https://vinfoundation.org/resources/vets4vets/ Book a session with Vets4Vets®: https://vinfoundation.org/resources/vets4vets-appointments/ Dr. Susan Cohen Veterinary Pulse Episode 104: https://vinfoundation.org/are-you-caring-too-much-red-shoe-syndrome-susan-cohen/ Adverse Childhood Events: https://www.cdc.gov/violenceprevention/aces/index.html Borderline personality disorder: https://www.borderlinepersonalitydisorder.org   You may learn more about the VIN Foundation, on the website, or join the conversation on Facebook, Instagram, or Twitter.   If you like this podcast, we would appreciate it if you follow and share. As always, we welcome feedback. If you have an idea for a podcast episode, we'd love to hear it!

In this episode of HappyTalks, we interview Riana Milne and learn about the many different types of trauma and how they can impact our relationships. Riana Milne MA is a Certified, Global Life and Love Trauma Recovery Coach, a Certified Clinical Trauma Mindfulness Coach, #1 Bellselling Author, the Host of her Podcast "Lessons in Love & Life," an Educational Speaker, and Licensed Mental Health Counselor for over 21 years living in Palm Beach County, Florida. Dr. Alice Fong is a naturopathic doctor, known as the “Virtual Stress Doc,” and she helps busy professionals break free from stress, anxiety, and burnout without having to quit their jobs using a 5-step holistic approach. She is the founder of Amour de Soi Wellness and her mission is to help people discover self-love and happiness. She has given several talks around the country for healthcare providers, corporations, women's conferences and for the general public. Donovon Jenson is a software engineer in the Bay Area and the founder of howtohappy.com. He is a Utah native who has long been interested in human development and health. He double majored in psychology and health policy, and graduated Magna Cum Laude through the Honors College at the University of Utah. How to Happy strives to provide thoughtful and actionable insights on living a happier life. We believe happiness is the result of self-awareness, balance and a positive mindset, among a myriad of other things. Our goal is to inspire you to see life through a new lens by adding strategies and exercises to your toolbox, then encouraging you to take action. We are all capable of being happier, let's work together to find the best pathways to get there. Together we're out to cause more happiness in the world! Riana Milne https://flow.page/rianamilne Website: https://rianamilne.com/ Podcast: https://lessonsinlifeandlove.com Youtube: https://www.youtube.com/c/RianaMilne/videos Dr. Alice Fong http://www.dralicefong.com https://www.facebook.com/DrAliceFong/ https://www.instagram.com/dralicefong/ https://twitter.com/DrAliceFong https://www.youtube.com/dralicefong https://ios.joinclubhouse.com/@dralicefong Donovon Jenson https://howtohappy.com/ https://www.facebook.com/TheHowToHappy/ https://www.instagram.com/thehowtohappy/ https://twitter.com/TheHowToHappy https://www.youtube.com/HowtoHappy Michael Lira, Voice Actor Opening Credits Voice https://www.michaelapollolira.com/ Information on this video is provided for general educational purposes only and is not intended to constitute medical advice or counseling. #trauma #relationships --- Support this podcast: https://anchor.fm/happytalks/support

Contributor: Randi Libbon, MD The Core features of trauma-informed care include: Patient empowerment, choice and collaboration. This means educating patients and allowing patients to make choices about their care when possible. Collaboration helps to level the power differential between patients and providers through shared decision making. Safety and sensitivity: Developing health care settings and activities that ensure patients' physical and emotional safety taking into account their diverse backgrounds of gender, sexuality, race, culture, and ethnicity Trustworthiness and transparency: Creating clear expectations with patients about what proposed treatments entail, who will provide services, and how care will be provided.   Resources: Reeves E. A synthesis of the literature on trauma-informed care. Issues Ment Health Nurs. 2015;36(9):698-709. doi: 10.3109/01612840.2015.1025319. PMID: 26440873. Molloy L, Fields L, Trostian B, Kinghorn G. Trauma-informed care for people presenting to the emergency department with mental health issues. Emerg Nurse. 2020 Mar 10;28(2):30-35. doi: 10.7748/en.2020.e1990. Epub 2020 Feb 25. PMID: 32096370.   Key ingredients for Trauma-informed care from SAMHSA https://www.samhsa.gov/sites/default/files/programs_campaigns/childrens_mental_health/atc-whitepaper-040616.pdf The National Childhood Traumatic Stress Network: https://www.nctsn.org/trauma-informed-care The Science of Adverse Childhood Events and Toxic Stress: https://www.acesaware.org/ace-fundamentals/the-science-of-aces-toxic-stress/ From the Institute for Health Care Improvement: http://www.ihi.org/communities/blogs/how-trauma-informed-care-can-help-patients-and-clinicians-during-behavioral-health-emergencies

Why I podcast; because I'm lonely, I have emotional wisdom to share, I have hopes to give a helping hand to those in dispair, loneliness, hopelessness. I talk about adverse childhood events and how I use technics when I have an emotional flashback triggered from current day events. Join me as I give you some tea about my life, what I value, how I keep things in perspective. I hope you enjoy listening as m as I enjoy describing the processing of a strong emotion, specifically a trauma related one --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app --- Send in a voice message: https://anchor.fm/yolanda254/message Support this podcast: https://anchor.fm/yolanda254/support

Obesity is a bio-psycho-social disease. This means that a person who has obesity suffers physically, emotionally and socially. It also means obesity is a result of biological, psychological and social factors. This is a special, two-part episode of the podcast because it contains critical information provided by a group of weight loss physicians who studied the backgrounds of thousands of patients with obesity who participated in their research program. The research was conducted over many years and included thousands of patients so the results clearly represent a large sample of people. What these doctors courageously and directly state is that obesity is very often so much more than a medical disease. Physicians and weight loss programs focus primarily on changing a person's diet and they are missing the fact that scores of people with obesity have histories of neglect and abuse. The patients informed the doctors that weight gain and weight regain is often their solution to feeling better and hiding their emotions and “secrets” from painful, emotional circumstances from their lives. Listen to the incredibly important information that, in my opinion, needs to be heard by all bariatric patients and all healthcare workers. Please share this with others.Article referenced throughout this podcast: Obesity: Problem, Solution, or BothCitation for article: Felitti, V. J., Jakstis, K., Pepper, V., & Ray, A. (2010). Obesity: problem, solution, or both?. The Permanente journal, 14(1), 24–30. https://doi.org/10.7812/tpp/09-107

Please listen with an open heart and an open mind to Part 2 of the research presented by a group of weight loss doctors who conducted research over many years with thousands of people who suffer from obesity.  The research clearly indicates that Physicians and weight loss programs, which focus primarily on changing a person's diet and are missing the fact that scores of people with obesity have histories of emotional distress. The patients informed the doctors that weight gain and weight regain is often their solution as they try to feel okay as they go about their lives, carrying the trauma of childhood pain. Listen to the incredibly important information that, in my opinion, needs to be heard by all bariatric patients and all healthcare workers. Please share this podcast with others who suffer from obesity and all healthcare providers you know.Article referenced throughout this podcast: Obesity: Problem, Solution, or Both? Citation for article: Felitti, V. J., Jakstis, K., Pepper, V., & Ray, A. (2010). Obesity: problem, solution, or both?. The Permanente journal, 14(1), 24–30. https://doi.org/10.7812/tpp/09-107

In today's episode we are joined by author and psychiatrist Dr. Clare Pain. Dr. Pain helps us to better understand how trauma is specifically different from other types of strong emotions such as grief or shame. She also shares with us the impacts of sexual abuse and betrayal and she breaks down the ground breaking Adverse Childhood Events study that directly correlates specific types of childhood trauma with early all cause morbidity and mortality. Highlights: Gain deeper understanding PTSD. Discover the importance of choice and meaning in the process of healing from trauma. Insights into the importance of ones childhood in building resilience to trauma or susceptibility The importance of connecting to the feeling that is going on in your body and then naming it. How trauma creates a disconnection to our gut feelings. Learn the necessity of developing “Emotional Literacy.” Discover the healing power of grief. Contact Dr. Pain: Department of Psychiatry – University of Toronto Lunenfield-Tanenbaum Research Institute The Toronto Addis Ababa Academic Collaboration  

So, now you've learnt all about the link between HPA axis dysfunction and endometriosis, in today's episode I want to provide you with some of the core foundational strategies for healing HPA axis dysfunction.  Before I dive in, I do want to state that healing HPA axis dysfunction can take some time, especially if you're prone to living in the flight or fight response – so what I mean is, you're default mode is feeling stressed, or anxious, or you spend a lot of time rushing around or over-committing yourself to endless to-do lists. If this sounds like you, don't worry, that's me too, and it's many of my clients and for those of us who are like that, it can take some deep unlearning of these patterns before we can really get to see significant improvement. We can certainly feel better, and many do, but I think to really thrive and not keep returning to this cycle of low cortisol burnout, we need to change some of these habits. So, for example, one of my clients loves to work and runs her own business like I do, so we make traction with her HPA axis dysfunction, but then if she goes through a busy period, her default mode is to put her sleep, and the strategies I'm about to share, on the backburner, because that's always been her strategy. To push through, to keep going, to reach for perfection. And I totally get it, because I'm exactly the same too. So for her, we've seen improvement with her HPA axis, most definitely. She used to not be able to get out of bed! But we still have a long way to go because it's a few steps forward and a few steps back. And the same goes for me. I could feel a noticeable difference, I could feel my energy returning and my sleep schedule becoming normalised, and then I released the course, and it was incredible, but it was one of the hardest things I've ever done. Now moving forward, it won't be like that, because I've now made the course, but beforehand, I was building a course from scratch and learning how to market a course – and it was more work than I think I've ever done in my life. So my cortisol levels really depleted again, and I'd love to see where they were after the course, but with the SIBO treatment I just couldn't afford more testing on top.  I feel like they're getting back on track, but until my SIBO is fully resolved (and if there are any other infections, having them addressed too) I don't think my cortisol will be at optimum levels. I think it will be good, much better than it's been for most of my life, but the chronic SIBO and maybe an underlying mould infection will be keeping my body in a state of flight or fight, and I'll explain about that a bit later in the episode. The length of time it can take to recover from HPA axis really varies. I've seen studies showing it taking weeks to recover, whereas someone who is completely burnt out, like chronically fatigued, can't get out of bed most days, that can take much longer. I did have one client like that, and I consulted with Dr Jessica Drummond, and she said to me, you know, this could take two years to heal, and we're about a year in and she's waking up early and working, but she's not fully recovered yet. So, it's a journey and just know that your healing will really depend on what's happening in your life, in your body and the strategies you choose to implement, which will all become clear in time.  So please don't give up if it doesn't feel like it's working, because honestly, what I'm about to share we should ALL be doing every day, for optimum health and a healthy stress response and circadian rhythm, so it will be benefitting you, but it may take time for your cortisol levels to fully recover.  What I suggest is, if you can afford to do so, take a CAR test, and again, I've linked to some options in the show notes, and then take another test after three months or sooner, if you're feeling a difference, and then at another three months after that, just to see what your body is doing. You can usually tell, because you'll notice changes in your energy, sleep, when you wake up, etc. but it can be helpful and just interesting really, to see what your levels do in response.  So, what I'm going to share today is four of the key strategies, there are a couple more and there are some additional strategies and tools which can help, but to avoid overwhelm, I'm just going to provide you with some of the initial key steps. These may be enough on their own to heal your HPA axis or you may need to do some further work later on down the line, but these are some of the key foundations to get started.     1.  Number one is a nice and simple strategy, get sunlight to your eyes for 30 minutes as soon as possible in the mornings. Your body relies on patterns, to set its internal rhythms and it especially relies on light and dark. Your circadian rhythm is essentially controlled by day light, so getting light exposure for 30 minutes in the mornings, is going to tell your brain what time of day it is. The light changes throughout the day, and your cortisol levels will respond to that, so getting that morning light is going to really help to raise your cortisol levels to healthy levels. Over time, this continued pattern will basically reset your internal body clock, and your circadian rhythm will be able to set its pattern to this once more and your cortisol levels will start rising when they should.  You can get this light in a number of ways. It could be that you eat your breakfast in your garden in the mornings, if you have one, it could be that you sit by an open window to get ready, or you could go for a walk or commute to work ensuring you get lots of light along the way. As long as you are getting unfiltered light, so not through sunglasses or through a window, you're all good. And if you can't manage 30 minutes, just do as much as you can.    2. Number two is probably the most important one, but I appreciate is often the hardest one. Get at least 7.5 hours sleep, minimum, each night, whilst also going to bed and waking at the same time every day.  I know this sounds intense but let me explain why it's important. Your body needs regular sleep and wake times in order to know when to raise and when to lower cortisol. If you're going to bed at 1am, of course you'll struggle to go to bed at 9pm, because your cortisol isn't low enough yet as it's been programmed to lower around 1am, and if you have a flipped curve, as we discussed last week, where cortisol is rising at night, this training of a new sleep routine will be hard but will be essential to getting those cortisol levels down.  It's the same if your cortisol levels are low in the morning. If you're going to bed late, then the body won't be elevating your cortisol levels to their waking levels until about 8 hours later. Yes, they start rising before that, but not enough to wake you up, so if your alarm is going off and you've only had five or six hours sleep, your cortisol levels just won't be high enough.  So, if you have HPA axis dysfunction and your cortisol levels are low in the morning or generally low all the time, you can see why not having enough sleep or irregular waking hours is not going to help. The body needs to know when it should be elevating cortisol, and to do that, it needs a reliable pattern. We're essentially resetting your alarm clock here.  On top of that, the reason why our HPA axis is dysregulated is because of stress, and that comes from both physical and emotional stress, and a huge physical stressor on the body is lack of sleep. So, if we want to allow our HPA axis to regulate, we do need to invest in improving our sleep quality.  Now this is of course easier said than done, so that sleep routine piece is going to take practice in order for your body to get into a rhythm, and in most cases, it's going to take sleep hygiene practices. These are essentially strategies which help your cortisol levels to lower and melatonin levels to rise at night and improve your sleep quality. That's a whole other podcast, but I have linked to an Instagram post I did on sleep hygiene strategies and of course, if you want to dive deeper, I cover both HPA axis and sleep optimisation in my course, which you can get on the waiting list for now – I've put the link in my show notes. If you have insomnia, I understand and I go through cycles of this, which truthfully, I think this is down to a flipped cortisol curve because I so often default to living in a state of flight or fight, and I also truly think a large majority of insomnia cases are down to cortisol dysregulation. So, if this is you, rather than getting stressed about the sleep piece, perhaps look at working on all of the other areas, because they will start to regulate your cortisol levels, which over time, should help you to sleep.  And I would start teaching your body a pattern of the same sleep times and wake times, if possible, even if you're not getting to sleep, even if you're not trying to – just sitting in bed and practice calming, restorative techniques to help lower cortisol at night. Don't make the focus on getting to sleep, but rather on just lowering cortisol. So, a dark room, maybe candles or very soft lighting, breathing exercises, massage, listening to sleep stories (which you can now find on loads of meditation apps), just anything gentle or soothing and I hate to say this, but I would avoid watching TV, being on your phone or your laptop or computer like the plague. I know I'm often very careful with my language and say to do what works for you and to tailor each strategy, but there's really no way around this one. Blue light from your TV, phone and laptop will elevate cortisol and suppress melatonin and not only that, but they're also designed to engage, stimulate, and activate your brain, they're not designed to help you wind down.  If you need your phone for the meditation or sleep story, put it on night mode, ideally get an app that creates a red screen and wear blue light blocking glasses, and turn the brightness right down. Now finally, I know you're probably thinking – what about the weekend? Well, research has shown that we need this consistent pattern all day, every day, but I know that's not realistic, so I would just try to do your best. If you're out late at a birthday, it's a one off and I wouldn't stress about it. If you're at home and you just tend to stay up later at the weekends, see if you can curb that slightly and bring it closer to your normal bedtime. So, if you go to bed at 10pm normally, can you make it 11pm at the weekends? That kind of thing!   3. Number three is to eat at regular times and to balance your blood sugar. Just like with light exposure and sleep, eating at similar times can help give your body reliable patterns to set its internal rhythm to. So, if you can eat at roughly the same time each day, that'll help. This pattern is less important that the first two, so don't worry if sometimes you're travelling or something and can't eat at the same time, but roughly and as often as you can will be helpful. But what is really important is blood sugar regulation. You know I've talked about this so many times by now, but high and low blood sugar are stressors to the body and activate the HPA axis stress response. And even if your cortisol levels are low, it's still going to activate, it's just going to be pumping out adrenaline in cortisol's place and so the stress response will still be occurring, just of course, not as it should. And as long as we keep repeatedly stimulating that stress response, the HPA axis is going to stay dysregulated.  I've shared how to regulate your blood sugar in previous episodes, so I'll link to that for full details, but in short, we need to include protein, fat, fibre, and complex carbohydrates with every meal. And the general ratios for good blood sugar balance are 50% of your plate consisting of low starchy veg which provides you with fibre and complex carbohydrates, 25% of your plate consisting of protein, and the final 25% being split into healthy fats and starchier, yet complex carbohydrates. For fat, we want at least two golf ball size servings, so that could look like say about a third of a large avocado or two tablespoons of nuts and seeds, and with starchier complex carbs, it could be sweet potatoes or quinoa, or beans if you haven't got them as your protein source, and the serving size you have really depends on your energy needs. Of course, if you look at it in relation to the other ratios, it's not a huge serving, about a handful, but you might need to increase it if you have a very physical job or you're very active. Be guided by how you feel! If you find you're getting hungry soon after meals, first try increasing your fat and protein sizes.  The other key strategies for balancing your blood sugar are to not allow yourself to get starving or super hungry before you eat – if you're shaky or hangry, you've waited too long, and of course, try to keep refined carbohydrates, and added sugar to special occasions rather than everyday foods. If you want to understand this in more depth, have a listen to the episode I've linked to or a read of the articles I've added to the show notes, and my course also has an entire module on blood sugar balancing and its impact on endo and our hormones, and how to balance it.  I know the idea of reducing certain foods can be triggering, so if this feels that way, then focus more on the balancing of your plate and all the wonderful foods you can add in, and on eating regularly. Of course, if you have a history of an eating disorder it is always best to work with a nutritionist, coach or dietician who can guide you, as well as a mental health practitioner.    4. Number four is stress management. I know I said sleep was the most important, but actually it probably ties with stress management! Now in order for our HPA axis to recover and get back to some kind of normal regulation, we need to stop chronically activating it.  This means we need to learn how to move regularly out of flight or fight and manage our stress response, plus look at any areas that may be a source of stress that we can address. Of course, there's always going to be some element of stress in our lives, but we can change how we cope with and respond to stress, and even how we perceive stress. So firstly, let's begin with the simpler changes. We want to practice moving out of the stress response, called the flight or fight response, and move into the rest and digest response on a regular basis. This is particularly important if your default mode is anxiety, stress, worry, fear, etc. because for you guys, most of the time you're going to be in flight or fight, and that's not good for the body. You know the impact that chronic stress can have on the HPA axis and on pain, from our last episode on this, but being in a constant state of flight or fight has far reaching effects on our health.  Personally, I've found that I have a harder time trying to get my mind to calm down, but utilising stress relief methods for my body, practices that actually put us in rest or digest, then calms down my mind or at least takes me out of flight or fight, even if my mind is still ruminating.  So, some strategies which calm down the stress response and put us into rest or digest include: Massage, any kind, but I really like abdominal massage like the I Love You massage for IBS issues or Arvigo massage for IBS, period pain and endo in general. These are really great to do before bed because they put your body into rest and digest but also support digestion overnight. I've linked to a free I Love You massage on YouTube, and you can learn Arvigo massage in one Zoom session with a therapist and then practice on yourself. I've put the links to both in the show notes. Tapping, also known as Emotional Freedom Technique is an exercise where we tap on the body – on the side of the hands, the eyebrows, side of the eyes, under the eyes, below the nose, on the chin, on the collarbone, under the arms and on the head, whilst repeating certain statements. The practice combines acupressure, originating from Chinese medicine, with more Western psychology practices. It's now gathering a wealth of data behind it and has been shown to take us out of flight or fight and calm the stress response. It's also been shown to reduce anxiety, depression, and pain, and is even helpful with managing SIBO! You can learn tapping with a practitioner, or you can use an app or watch free YouTube videos online. I've linked to an app I like in the show notes.  Yoga Mindfulness meditation Walking in nature Mild to moderate exercise (such as Pilates, brisk walking, Zumba, etc.) Being in community   All of these have been shown to reduce stress levels, taking us out of flight or fight and into the rest and digest state. And what I also love about these is that they're a way to process trauma or emotion out of the body. Often if we don't want to think about something that is distressing to us, or we don't feel like we're safe to express it in the moment, for whatever reason, and we store that tension in our bodies, which can lead to hypersensitive nerves firing off danger signals, triggering pain because the brain thinks we're unsafe. But if we're able to physically work off some of that emotion, the physically damaging effects of that stress response can be reduced.  I've found it really helpful for me, being a health coach, it's of course sometimes a stressful job because I am looking after people's health and that in itself is a lot of pressure, but of course hearing about someone's pain or distress is emotional, so afterwards I can sometimes feel worried or anxious. So often I'll come off a call and I won't really know how to think my way out of what I'm feeling, I struggle to soothe myself with just my thoughts, so I tap, or I get on my rebounder for five minutes, or I do some mindful breathing, or I do some of my weightlifting exercises, which I do at intervals throughout the day. And I sort of imagine myself shedding the stress as I do it. Not all the time, but especially when I'm jogging on my rebounder, I sort of see myself running the stress off, and it really, truly helps. It's become a wonderful way for me to process my feelings.  The next area to look at with stress is whether you have any past trauma that needs working through. I've been talking a lot over on Instagram about the ways in which childhood trauma, known as Adverse Childhood Events or experiences dramatically increases our chances of developing chronic pain, autoimmune diseases and chronic conditions, and the pathway for most of these developments is through HPA axis dysregulation, which has occurred due to chronic stress. If we haven't worked through these past traumas, they can be subconsciously keeping us feeling unsafe, causing our bodies to be in a near constant state of flight or fight or easily stressed and activated.  This could be a whole topic in itself, so my recommendation to get started with this healing process is to read my Instagram post first, and then I've linked to a couple of books, podcasts, and therapy resources to help you work through the trauma in the show notes. We also need to look at how pain is triggering your stress response. Of course, the more stressed we are about our pain, the more unsafe our brain feels, and then the worse the pain gets, because it is our brain which creates pain and controls the intensity – and if the brain feels like there is a reason to make pain (so if the brain feels at threat or in danger in any way at all, and this could be as small as a stressful email) it will increase the pain levels.  So, changing the way we experience pain and perceive it is also important and of course, this and the above step about trauma can take some time. Don't worry about that, don't stress about having to get it all done. Put the easy practices in place, like maybe getting sunlight, trying tapping before bed, eating at the same times, balancing your blood sugar, etc. Put the practical bits in place and implement them over a time frame that feels manageable, and then when you feel strong enough to work on your pain perception or trauma, begin then. By this point, I would hope that you would have better cortisol levels and a more robust and healthy stress response, so you can actually better handle the work involved in these steps.  So anyway, that was a side note on how to approach this, but back to actually changing the way we perceive our pain… Again, this is a podcast in itself but there are a few therapies and approaches to help you to do this. You could try: Acceptance and Commitment Therapy for pain Curable (which is a brain retraining app for chronic pain and I highly recommend it)  Mindfulness Based Pain Relief  And there are a couple of great books I recommend too, so I'm going to link to those in the show notes. Finally, we also want to look at physical stressors, but this where it can get a little complex. If you're dehydrated, if you're eating an inflammatory diet, if you're over-exercising, sleep deprived, or have SIBO or gut health infections (or any underlying infection for that matter), chronic inflammation or nutrient deficiencies, these will all be stressors on the body and can make it harder to recover from HPA axis dysfunction.  Now what I would say is that this is more advanced healing and I feel like for many people with HPA axis dysfunction, they need to have more energy and better cortisol levels to be able to take this stuff on, otherwise it can just feel too overwhelming, so I'm not going to dive into this today.  Instead, what I will say is to focus on a nutrient dense diet rich in anti-inflammatory foods, so your body is well fed, is getting a good amount of nutrients and we aren't fuelling the inflammation fire. You can of course also add one or two supplements to help lower overall inflammation, which we know is generally a problem for most people with endo, being an inflammatory disease, and I talk about my favourite anti-inflammatory supplements in episodes 130 and 131.   Also make sure you're drinking enough. The calculation to work out what your body needs at a minimum is to drink half your body weight in fluid ounces. So, you take your weight in pounds, so say someone was 100lbs, then you halve it, so we have 50lbs and then you just replace the pounds with fluid ounces, we're not converting, just swapping. And if you're very active, you'll need more than that, this is just your minimum. I have linked to a water calculator in the show notes, which helps you to work out how much water you need if you're very active or breast feeding, or something like that.  You could also add some essential basic supplements too, like a multivitamin and minerals supplement and omega 3 fatty acids, to ensure you're covering the basics. Now of course, if you're not absorbing your food well due to gut health issues, or you're deficient in a nutrient, these may not be enough, but again, I'm just covering the foundations.   If in time you feel ready to get some thorough nutrient status tests and gut health tests, or to explore anything else you think may be going on in your body, of course, that will help, but I want to emphasise these foundations first, because they can make such a difference and can give you the strength for the bigger stuff.  So, there's the initial four steps. And what I wanted to emphasise, what should be underpinning all of this, is joy and fun. If this is stressing you out, then it won't be helpful. So, we need to tailor the healing in a way that will make you feel pleasant feelings and that allows you to have fun or enjoy yourself, in whatever way that is.  So, for example, instead of seeing a 10.30pm bedtime as a curfew, how can you make it feel luxurious? Can you turn your evening routine into a min spa retreat each night with a candle, an abdominal massage and calming music before bed? How can you spend more time with loved ones who you enjoy being around, in a way that feels joyful and nourishing to you? Can you go to restorative exercise classes with friends or have regular catch ups, so you feel supported and connected? Could you do things you enjoy more often, like heading to the cinema or doing fun activities? Are there things you stopped doing that brought you joy, which you can bring back into your life? Could you take a cooking course to learn how to make delicious but healthier desserts, so you can feed your body and taste buds, or could you get some new cookbooks to learn how to eat more fruits and veggies? Or maybe, if you don't like cooking and can afford it, can you try a meal delivery service which offers you not just healthy meals, but more time for you to relax?  Basically, whatever it is, make this healing path feel good. If it feels stressful, take a step back and think about how you can make this process more joyful. My course, Live and Thrive with Endo is opening for enrolment again soon. Join the waiting list now to access early bird pricing and special bonuses. Sign up here. This episode is sponsored my free workshop Creating a Roadmap for Endo Healing in 2021: Overcome Overwhelm, Identify Your Core Endo Challenges, Learn the 8 Key Pillars of Healing and Set Goals and Next Steps So You Can Begin Managing Endometriosis with Confidence and Clarity and take action after the workshop. Sign up here. My cookbook This EndoLife, It Starts with Breakfast is out now! Get 28 anti-inflammatory, hormone friendly recipes for living and thriving with endometriosis. Order your copy here. If you feel like you need more support with managing endometriosis, you can join Your EndoLife Coaching Programme. A 1-to-1 three month health and life coaching programme to help you thrive with endometriosis. To find out more about the programme and to discuss whether it could be right for you, email me at hello@thisendolife.com or visit my website. This episode is sponsored by The Pod Farm. Learn all about how to start your own podcast with the complete course from The Pod Farm. Aimed at beginners, this course takes a simple and straightforward approach to planning, equipment buying, setting up, recording, editing and hosting your own podcast. With hours of audio and video materials, and downloadable guides and useful links, this multimedia approach aims to have something for every kind of learner. From now until April 15, newsletter subscribers get 20% off the course price. Visit www.thepodfarm.com to enroll or find out more This episode is sponsored by BeYou. Soothe period cramps the natural way with these 100% natural and discreet menthol and eucalyptus oil stick on patches and CBD range. Click here to find out more and to shop: https://beyouonline.co.uk Show Notes Creating a Roadmap for Endo Healing in 2021 Live and Thrive with Endo course CAR tests https://regeneruslabs.com/products/cortisol-awakening-response https://www.letsgetchecked.com/gb/en/home-cortisol-test/ Light https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2699216/ https://www.sleepfoundation.org/circadian-rhythm Blood sugar https://www.thisendolife.com/this-endolife-podcast-episodes/reduce-fatigue-endometriosis-symptoms-and-oestrogen-dominance https://endometriosis.net/living/diet-sugar Sleep https://www.instagram.com/p/CIBrBCmDMuj/ https://pubmed.ncbi.nlm.nih.gov/12941057/ https://pubmed.ncbi.nlm.nih.gov/12220314/ https://pubmed.ncbi.nlm.nih.gov/10849238/ Massage https://www.youtube.com/watch?v=JTOkKVlBHzk https://www.thisendolife.com/this-endolife-podcast-episodes/arvigo-massage-for-endometriosis https://www.arvigotherapy.com/team-members https://selfhacked.com/blog/32-ways-to-stimulate-your-vagus-nerve-and-all-you-need-to-know-about-it/ https://www.frontiersin.org/articles/10.3389/fpubh.2020.00082/full https://www.sciencedirect.com/science/article/pii/S2095496418300372 Tapping https://www.thetappingsolution.com https://www.thetappingsolution.com/science-research/ Yoga https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3768222/ https://www.health.harvard.edu/blog/yoga-could-slow-the-harmful-effects-of-stress-and-inflammation-2017101912588 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3111147/ https://pubmed.ncbi.nlm.nih.gov/15750381/ Walking in nature https://www.natureandforesttherapy.org/about/sciencehttps://www.natureandforesttherapy.org/about/science Exercise https://pubmed.ncbi.nlm.nih.gov/27956050/ https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4013452/ Mindfulness https://www.sciencedirect.com/science/article/abs/pii/S0272735813000731?via%3Dihub Community https://scholar.harvard.edu/marianabockarova/files/tend-and-befriend.pdf Trauma https://www.instagram.com/p/CQJvnf1BYum/ https://kimberlyannjohnson.com/call-of-the-wild/ https://cmbm.org/thetransformation/ SelfHealers SoundBoard podcast Sex Birth Trauma Pain resources This Might Hurt Film Tell Me About Your Pain podcast https://www.amazon.co.uk/Pelvic-Pain-Hurts-Adriaan-Louw/dp/0985718684 The Way Out by Alan Gordon Curable Water https://www.hydrationforhealth.com/en/hydration-tools/hydration-calculator/

KSQD 6-09-2021: News from the annual Institute for Functional Medicine conference: Effect of adverse childhood events and early toxin exposure on health; All about the many forms of various tocopherol molecules that make up Vitamin E; The differences between Folic acid vs.Folate supplements and the pros and cons of each; The problem with modern fertilizers; Greens are the best way to suppress damaging glucose spikes; Treating your microbiome well is the best way to good health; Dr. Dawn reviews a supplement rating service and a mask with embedded Zinc oxide; The controversial FDA approval of the Alhzheimer's drug Aducanumab; Failure of research trials for a drug to treat Huntington's disease

KSQD 6-09-2021: News from the annual Institute for Functional Medicine conference: Effect of adverse childhood events and early toxin exposure on health; All about the many forms of various tocopherol molecules that make up Vitamin E; The differences between Folic acid vs.Folate supplements and the pros and cons of each; The problem with modern fertilizers; Greens are the best way to suppress damaging glucose spikes; Treating your microbiome well is the best way to good health; Dr. Dawn reviews a supplement rating service and a mask with embedded Zinc oxide; The controversial FDA approval of the Alhzheimer's drug Aducanumab; Failure of research trials for a drug to treat Huntington's disease

TeamPeds Talks will focus on Mental Health in our second Conversations on Child Health series. Each conversation episode is hosted by National Association of Pediatric Nurse Pediatric Executive Board President Jessica Peck, DNP, APRN, CPNP-PC, CNE, CNL, FAANP. This episode's guest is Anna Goddard PhD, APRN, CPNP-PC, discussing Adverse Childhood Events. Dr. Goddard works as an Assistant Professor at Sacred Heart University, Davis & Henley College of Nursing where she teaches Quality Improvement, Epidemiology, Evidence Based Practice. With a variety of roles in School-Based Health Center practice including past-Director of Medical Services at Child and Family Agency in Southeastern Connecticut, she continues to work as a SBHC and Early Education Nurse Consultant. Dr. Goddard has served as the project manager and team-lead for multiple internal, regional, state, and national initiatives. Dr. Goddard has directed multiple quality improvement processes at Child Family Agency in conjunction with the Alliance, Connecticut Department of Public Health, and the Connecticut Association of School-Based Health Centers (CASBHC), where she is now a Board of Directors representative, providing state. She regularly serves as a peer-reviewer for several high-impact journals, holding multiple publications in the peer-reviewed literature, book chapters, and sought for contribution to consumer publications. Dr. Goddard has conducted workshops and educational sessions of late on adverse childhood experiences and trauma-informed care with accompanying publications in the Journal of Pediatric Health Care and Nurse Education Today. Dr. Goddard received her PhD from Vanderbilt University School of Nursing (2016), a Master of Science in Nursing (MSN) from Yale University (2005) as a Pediatric Nurse Practitioner Dr. Goddard was most recently selected for the 2020 Kelly-Reed Community Impact Award from the Pediatric Nursing Certification Board and the 2020 Rising Star Award from the National School-based Health Alliance. In this episode, pediatric nurse practitioner and mental health expert Dr. Anna Goddard explores the long-term health impacts of adverse childhood events. Learn to recognize behavioral and physical symptoms of trauma and how to respond in a trauma-informed way to promote resilience and healthy coping skills. Visit us at napnap.org!

Louise Marryat is a quantitative sociologist at the University of Dundee who specialises in using routinely collected data from health and education records, as well as birth cohort studies, to explore the pathways that children take throughout childhood and how services can support them to reach their full potential.You can find out more about Louise's work by following her on twitter here.The paper discussed in this episode is:Marryat, L, and  Frank, J. Factors associated with adverse childhood experiences in Scottish children: a prospective cohort study.  BMJ Paediatrics Open 3.1 (2019).Many thanks to Naomi Meiksin for editing the transcript for this episode. 

Welcome to the Authentic Dad Podcast!  I'm David Waranch and I coach dads on having a greater impact in the world, living on their own terms, and flourishing in their relationships. Today, I'm joined by Fausta Luchini.  Fausta is a Trauma Sensitive Consultant and Coach, bringing over 20 years experience as a licensed therapist to her work. As a therapist, she worked primarily with people who experienced lots of trauma in childhood, or ACESs, Adverse Childhood Events. She learned ways to help her clients work through the lingering impact of trauma on their lives and her clients helped her understand their pathways to healing. It took a panic attack in the park for Fausta to become aware of the impact her work had on her. It led her on a journey to find ways to manage the second-hand trauma she was experiencing. The skills and tools she discovered allowed her to work with her clients without losing her self and her joy in the world. Now she coaches compassionate professionals, helping them work through the same challenges she had faced.  In 2017, Fausta moved to Savannah, Georgia, following her dream to live near the ocean. She lives in a multi-generational household with her partner, Dennis, her daughter, and two grandchildren. She enjoys playing with the grandkids, walking alone on the beach in the early morning, and looks forward to dining out with her daughter and traveling with her partner again someday. If you're a dad who needs support in your relationships and are looking to make a greater impact in the world, I would love to hear from you. My theme music is by Isaac Lourie.  Check him out on Instagram @isaac_lourie_official. Please visit www.furthur.coach to say hi or schedule a free 30 minute coaching call. Instragram:  @furthur_coaching TikTok:          @furthurcoaching Thanks for listening!  Please consider giving us a 5 star review and subscribing to the podcast.  It really helps people find it.  

Dr. April Hartman, Dr. Zachary Hodges, and MS4 Rachel Vaizer join the show to discuss adverse childhood experiences and screening for them in the pediatric clinic. What are the key questions to ask? What are adverse childhood experiences and how do they affect a child's long-term health? How do you bring up the concept of adverse childhood experiences with parents? How do you screen for ACEs and what do we do with a positive screen at a clinic visit?   All of this and more from the Department of Pediatrics at the Medical College of Georgia. Check out our website: https://www.augusta.edu/mcg/pediatrics/residency/podcast.php Special thanks to Dr. Lisa Leggio and Dr. Christopher Drescher for providing peer review for this episode. Citation: Hodges, Z. (Host). Hartman, A. (Host). Vazier, R. (Host). Leggio, L. (Contributor). Drescher, C. (Contributor). (2020, October 15). Adverse Childhood Events. (S1:16) [Audio Podcast Episode]. MCG Pediatric Podcast. Medical College of Georgia Augusta.   Questions, comments, or feedback? Please email us at mcgpediatricpodcast@augusta.edu   Resources from this episode: Screening Resources Bright Futures Questionnaire: https://brightfutures.aap.org/materials-and-tools/tool-and-resource-kit/Pages/Medical-Screening-Reference-Tables.aspx Pediatric ACEs and Related Life Events Screener (PEARLS) by Bay Area Research Consortium on Toxic Stress and Health: https://www.acesaware.org/screen/screening-tools/   Community Resources Big Brother/Big Sister: https://www.bbbs.org/ Boys and Girls Club: https://www.bgca.org/ Georgia Family Connection Partnership: https://gafcp.org/   ACEs information ACEs Aware: https://www.acesaware.org/ ACEs Aware Training Module: https://training.acesaware.org/ My GCAL: https://www.georgiacollaborative.com/providers/georgia-crisis-and-access-line-gcal/ SafeCare: https://www.childwelfare.gov/topics/preventing/prevention-programs/homevisit/homevisitprog/safe-care/ References for this episode: Bucci, M., Marques, S. S., Oh, D., & Harris, N. B. (2016). Toxic stress in children and adolescents. Advances in Pediatrics, 63(1), 403-428. Felitti V.J. Anda R.F. Nordenberg D. et al. Relationship of childhood abuse and household dysfunction to many of the leading causes of death in adults: the Adverse Childhood Experiences (ACE) study. Am J Prev Med. 1998; 14: 245-258  Garner AS, Shonkoff JP, Siegel, B. S., Dobbins, M. I., Earls, M. F., McGuinn, L., Pascoe, J., & Wood, D. L; Committee on Psychosocial Aspects of Child and Family Health; Committee on Early Childhood, Adoption, and Dependent Care; Section on Developmental and Behavioral Pediatrics. Early childhood adversity, toxic stress, and the role of the pediatrician: translating developmental science into lifelong health. Pediatrics. 2012;129(1):e224-e231. doi:10.1542/peds.2011-2662  Harris, N. B., Marques, S. S., Oh, D., Bucci, M., & Cloutier, M. (2017). Prevent, screen, heal: collective action to fight the toxic effects of early life adversity. Academic pediatrics, 17(7), S14-S15.   Kerker B.D. Storfer-Isser A. Szilagyi M. et al. Do pediatricians ask about adverse childhood experiences in pediatric primary care?. Acad Pediatr. 2016; 16: 154-160  Marie-Mitchell, A., Studer, K. R., & O'Connor, T. G. (2016). How knowledge of adverse childhood experiences can help pediatricians prevent mental health problems. Families, Systems, & Health, 34(2), 128.  Oh, D. L., Jerman, P., Marques, S. S., Koita, K., Boparai, S. K. P., Harris, N. B., & Bucci, M. (2018). Systematic review of pediatric health outcomes associated with childhood adversity. BMC pediatrics, 18(1), 83.   Shonkoff JP, Garner AS; Committee on Psychosocial Aspects of Child and Family Health; Committee on Early Childhood, Adoption, and Dependent Care; Section on Developmental and Behavioral Pediatrics. The lifelong effects of early childhood adversity and toxic stress. Pediatrics. 2012;129(1):e232-e246. doi:10.1542/peds.2011-2663  Vu, C., Rothman, E., Kistin, C. J., Barton, K., Bulman, B., Budzak-Garza, A., ... & Bair-Merritt, M. H. (2017). Adapting the patient-centered medical home to address psychosocial adversity: results of a qualitative study. Academic pediatrics, 17(7), S115-S122.  Wolraich ML, Hagan JF Jr, Allan C, et al. Clinical Practice Guideline for the Diagnosis, Evaluation, and Treatment of Attention-Deficit/Hyperactivity Disorder in Children and Adolescents [published correction appears in Pediatrics. 2020 Mar;145(3):]. Pediatrics. 2019;144(4):e20192528. doi:10.1542/peds.2019-2528    National Center for Injury Prevention and Control, Division of Violence Prevention. (2020, April). Preventing Adverse Childhood Experiences. Retrieved from https://www.cdc.gov/violenceprevention/acestudy/fastfact.html?CDC_AA_refVal=https%3A%2F%2Fwww.cdc.gov%2Fviolenceprevention%2Fchildabuseandneglect%2Faces%2Ffastfact.html

Vanessa Cameron and Cheryl Crow delve deep into Vanessa's rheumatoid arthritis journey, which includes significant work she's done on examining the mind-body connection and finding balance in her life through daily mindfulness, EFT and other practices.Cameron discovered her passion for hacking her mind and body amid a debilitating bout with Rheumatoid Arthritis. After learning about the emerging science of Self-Compassion and the benefits of meditation, EFT (tapping) and NLP (neuro-linguistic programming) she began incorporating daily science-backed practices that boosted her health and happiness. Her passion led her to start and earn master level practitioner certification to teach EFT and NLP. Cheryl Crow is an occupational therapist who has lived with rheumatoid arthritis for seventeen years. She is passionately dedicated to helping others with rheumatoid arthritis figure out how to successfully navigate daily challenges so they can live a life they love despite health challenges. She formed the educational company Arthritis Life in 2019 after seeing a huge need for more engaging, accessible, and (dare she say) FUN patient education and self-management resources. This interview was conducted in December 2019.MEDICAL DISCLAIMER: All content found on Arthritis Life public channels was created for generalized informational purposes only. The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment.Links discussed in this episode:Vanessa’s Website: www.isparkdaily.comVanessa’s Instagram @isparkdaily Integrated Rheumatologist - Dr. Mir https://www.nyir.com/“ACEs” study (Adverse Childhood Events)8 week self compassion meditation class at StanfordTara Brach - The RAIN of Self-Compassion ACT - Acceptance and Commitment TherapyCheryl’s Facebook group: Arthritis Life Podcast, Practical Tips & Positive, Realistic SupportFree Handout: Cheryl’s Master Checklist for Managing RAThis episode is brought to you by the Beginner's Guide to Life with Rheumatoid Arthritis, an intensive 4 week online education and support program Cheryl created to empower people with the tools to confidently manage their social, emotional and physical life with rheumatoid arthritis.Medical disclaimerDetailed episode breakdown:3:00 Beginning signs of RA4:30 - Massive flare up, feeling “stuck” in life overall7:10 - Vanessa experiments with dietary changes and finds a diet that helps her inflammation11:00 - Massive flare up leads to confusion.15:00 - How she found a good fit with her doctor19:00 - How a trusting relationship with Dr. Mir helped Vanessa accept western medications.21:33 - Vanessa’s low point after contacting the flu. 22:00 - Recognizing she needs to address emotional scars from her past.26:30- How Vanessa used Emotional Freedom Technique (EFT) - Tapping + Journaling to work through her emotional scars (such as being told she’s “too emotional”), and learning to take an energy inventory31:30 - How a daily self-compassion meditation course helped.33:10 - Summary of the lifestyle changes she made to manage her wellness on a daily basis38:14 - How RA struggle now seems like a blessing in disguise39:20 - How joining a Buddhist community sparked resilience.42:19 - Vanessa’s advice to newly diagnosed patients44:17 - How RA affected her experiences in the workplace, how she learned to advocate44:40 - How she explains RA to people who don’t know anything about it46:00 - How both Cheryl & Vanessa learned to say no!49:50 - Lifestyle changes, including saying no and managing energy51:00- Vanessa worked with an autoimmune health coach. 52:20 - Learning to see Pain as a messenger 53:07 - How EFT helped Vanessa get to the root of her emotions54:30 - Cheryl talks about how ACT helped her manage difficult emotions.56:00 - Discussion of Tara Brach’s “RAIN of self-compassion”59:50   - Concluding thoughts about how Cheryl & Vanessa came to terms with being comfortable sharing their RA and emotional stories.

Dr. Katelyn Kalstein is an expert on the brain, mental health and Ketamine therapy. She joins us today to discuss how stress impacts the immune system and our DNA. Some of the fascinating topics discussed on today's show: 1. How does stress impact the body? 2. Does your heredity or blood line impact how you respond to stress? 3. What neurotransmitters are affected by stress? 4. Is there a connection between our past lives and how we respond to stress? 5. What are Adverse Childhood Events and how do they impact our stress response and mental health? 6. Should you host a virtual healing "love-in"? 6. What are the longterm mental health impacts of COVID19? 7. How to create a safe environment in the room of fear. 8. Can meditation help face the beast of fear? 9. Why is breathing so important when dealing with stress? This episode is so packed with information and tips you are going to want to listen to it a couple times - so download it to your phone ASAP! I know I did.

Norman grew up in a loving Jewish family in the midwest. His father was a veteran and although all seem well, Norman felt a disconnect, a deep-felt sense of suffering all around him that was never Acknowledged or discussed. In his early twenties, Norman experienced a great deal of internal turmoil and when he learned the First Noble Truth, one of the central beliefs of Buddhism, he experienced great relief -- his suffering was not his alone, it was universal. Norman has dedicated his life to the study and practice of Buddhism, to live a life of kindness and compassion, and to sharing his path with a wide audiences. He is the author of more than 25 books, including the brilliant Taking Our Places : the Buddhist Path to Truly Growing Up, and Sailing Home: using Homer’s Odyssey to navigate life's perils and pitfallsBio:Zoketsu Norman Fischer is an American poet, writer, and Soto Zen priest, teaching and practicing in the lineage of Shunryu Suzuki.[1] He is a Dharma heir of Sojun Mel Weitsman, from whom he received Dharma transmission in 1988. Fischer served as co-abbot of the San Francisco Zen Center from 1995–2000, after which he founded the Everyday Zen Foundation in 2000, a network of Buddhist practice group and related projects in Canada, the United States and Mexico.[2] Fischer has published more than twenty-five books of poetry and non-fiction, as well as numerous poems, essays and articles in Buddhist magazines and poetry journals.Links:http://www.everydayzen.org/

On episode 262 of The Nurse Keith Show nursing career podcast, Keith interviews Leslie Peters, RN, a compassionate and brilliant nurse with expertise in the effects of adverse childhood events, addiction, chronic toxic stress, codependence, ADHD, and much more.  Nurse Keith is a holistic career coach for nurses, as well as a professional podcaster, published author, inspiring speaker, and successful nurse entrepreneur.  Show notes NurseKeith.com Facebook.com/NurseKeithCoaching Twitter.com/nursekeith Instagram.com/nursekeithcoaching LinkedIn.com/in/keithallancarlson

Elizabeth’s parents are both survivors of the Holocaust. Their trauma loomed large in her childhood. As an adult, Elizabeth learned about epigenetics -- the way trauma changes the expression of our genes and gets passed down to future generations. In this episode, Elisabeth discusses the universal experience of trauma in each of our ancestry, the importance of honoring and remembering the past in its truth, and the potential for redemption in telling our stories. Bio:Elizabeth Rosner is a bestselling novelist, poet, and essayist living in Berkeley, California. Her newest book of non-fiction, SURVIVOR CAFÉ: The Legacy of Trauma and the Labyrinth of Memory, was featured on NPR’s All Things Considered and in The New York Times; it was also a finalist for a National Jewish Book Award. Her three acclaimed novels have been translated into nine languages and have received prizes in the US and in Europe. A graduate of Stanford University, the University of California at Irvine, and the University of Queensland in Australia, she lectures and teaches writing workshops internationally. Links:Elizabeth giving a talk at Google headquartersElizabeth's websiteElizabeth interviewed on NPRElizabeth interviewed in the New York TimesElizabeth reviewed in the San Francisco ChronicleBryan Stevenson's website His Ted Talk

Meghan married young with her college sweetheart. The relationship seemed perfect on the outside, but behind closed doors, she was experiencing emotional abuse and soon physical abuse. After ending a second marriage, and now a mother, Meghan decided to start her healing journey. Encouraged by her boyfriend, she joined an ayahuasca ceremony and experienced a deep transformation. Out of this experience came a powerful body of work (paintings and poetry) that explores her history with domestic violence, sexual assault as well as her healing journey. Bio:Meghan Spiro is a survivor, visual artist and photographer, and a mother. Her professional work focuses on food & wine, lifestyle brands, products and portraits, working within the Hudson Valley, NYC, and beyond. Her personal work is known for exploring intense female struggles like domestic violence, sexual assault, miscarriage, as well as radical methods of healing, spiritual journeys of wisdom, and the sacred feminine and connection to Mother Earth. Much of her work is autobiographic and self-portrait based. Also a poet, She sometimes blends her poetry with the artwork. Links:http://philasophia.com/http://meghanspiro.com/

Andrew was bullied as a boy for being gay. As an adult, he suffered from severe depression. Andrew realized that to survive and thrive he must create meaning of his experience, recreate his narrative, and build his identity to incorporate his experience and grow from them. In this episode, Andrew shares his insight on this process of creating meaning, as well as his research into communities that openly support depressed members of the community and how other communities are neglected in getting clinical help. the tension between acceptance and curing, and the ultimate power of compassion.Bio: Andrew Solomon, Ph.D., is a writer and lecturer on politics, culture and psychology; winner of the National Book Award; and an activist in LGBTQ rights, mental health, and the arts. He is Professor of Clinical Medical Psychology (in Psychiatry) at Columbia University Medical Center, and a former President of PEN American Center. He is the author of seven books including the best-selling Far From the Tree: Parents, Children, and the Search for Identity and his award-winning memoir The Noonday Demon: An Atlas of Depression. Links: http://andrewsolomon.com

Jed’s father had a mental breakdown when Jed was only four. Jed visited him every Sunday at a psychiatric hospital where he witnessed his deterioration until, eventually his father could no longer recognize him. This daunting experience propelled Jed on a path to become a psychotherapist and a life spent focusing on men’s health and wellbeing. In this episode, Jed talks about the impact of a father’s absence on a child’s development and what it takes to have a truly fulfilling marriage. (hint: after the honeymoon, don’t bail, face and heal your childhood wounds so you can move to the next stage of intimacy and love). Bio: Jed Diamond , PhD, is the director of MenAlive and has been a licenced psychotherapist for nearly 40 years. MenAlive is a health program for men to eliminate stress that undermines their health and wrecks relationships. This program is also for women who care about the health of men in their lives. Jed is also an author of many books including My Distant Dad: Healing the Family Father Wound, a story about finding his father and both of their journeys of healing and redemption. Jed has been on the Board of Advisors of the Men’s Health Network. He is also a member of the International Society for the Study of the Aging Male and serves as a member of the International Scientific Board of the World Congress on Men’s Health.Links: https://menalive.com https://www.webmd.com/jed-diamondTwitter & Facebook @menalivenow

Sebern, at age four, was abducted and abused. Her parents never believed her and by the time she was a young adult, she ended up in lengthy psychiatric hospitalizations. She somehow pulled together and became a thriving psychotherapist and director of a residency program for severely disturbed youth. Despite Sebern and her team’s efforts, the success rate for this youth was abysmal. But in her 50s she discovered neurofeedback and felt, for the first time in her life, the quieting of the fear in her brain. It shifted completely her understanding of what was preventing the kids in her care to progress and led her to study neurofeedback and become one of the leading practitioner and teacher of neurofeedback for healing developmental trauma. In this episode, Sebern explores the impact of trauma on the brain and what that means for the future of understanding and healing mental illness. Bio: Sebern F. Fisher, MA, is a psychotherapist and neurofeedback practitioner in private practice who specializes in the aftermath of neglect and abuse in early childhood. She focuses on training the traumatized brain to learn its own regulation which it can learn at any age. She trains professionals nationally and internationally on neurofeedback and on the need to integrate neurofeedback with psychotherapy. Her book, Neurofeedback in the Treatment of Developmental Trauma: Calming the Fear-Driven Brain, has helped her readers understand how the traumatized brain can give rise to explosive feelings, irrational thinking and destructive behavior. When the brain learns its own regulation, its owner can engage meaningfully in psychotherapy and in life. The book is now also available as an audiobook on Audible. Links:https://www.sebernfisher.com/https://www.sebernfisher.com/neurofeedback-in-the-treatment-of-developmental-trauma/

Joyelle was sexually abused at 11 by a high-school boy, which became the grounds for bullying and isolation. As an adult, she thrived and became a talented vocalist and teacher. Joyelle felt like she had done the work of dealing with her past traumas: she had gone to therapy, practiced yoga and meditation. And then she had kids and her trauma came barging in. Postpartum depression hit hard and she felt so isolated and shameful. She knew she could not be alone, struggling to parent with PTSD, and so she created an online community and published a book. And she became a coach, to help others parents with trauma learn how to heal and break the cycle.Bio: Joyelle is a speaker, mothering coach, and multi-media creator, working to break the silence that keeps childhood abuse survivors stuck in shame and self-hatred. She illustrated and self-published the children’s picture book Princess Monsters from A to Z, a book about accepting all the “monstrous” parts of ourselves that we might feel are un-loveable. Together with Dawn Daum she formed an online community for parenting survivors of childhood abuse and created the anthology Parenting with PTSD.Links:www.joyellebrandt.comFacebook: @joyelle.brandtTwitter & Instagram: @joyellebrandtIntegration Based Stress Removal http://www.bmi-ibsr.com/ibsr---the-protocol.htmlSelf Soothing Video https://www.youtube.com/watch?v=xRnZRbgqDccOut of the Storm website about complex PTSD https://www.outofthestorm.website/And this is my friend Victoria who would be great for the podcast: http://fiercefatty.com/aboutHere is her TED talk: https://www.youtube.com/watch?v=w_Ml3yr32bU

Elizabeth tried everything— meds, therapy, alternative approaches— to manage her depression and suffering, but nothing gave her lasting results. She didn't give up, and, over the years, came up with her own method, Mindfulness for a Messy Life. To help her overcome difficult times, Elizabeth reminds herself that “I can’t let the bad stuff win.” Through memories of herself as a hyper sensitive child who was cruelly bullied to her adulthood of high achievements despite agonizing self-loathing and mental anguish, Elizabeth shares her strategies for healing and thriving. Bio: Elizabeth Kemler is an author, educator, mental health advocate, coach, music-maker and performer. She is also a long-time battler of depression and anxiety. Mindfulness for a Messy Life isElizabeth's innovative self-care program that approaches depression and anxiety as your own most informed, affirming and empowering ally. Based on decades' worth of in-depth research and lived experience, MfML will help you gain transformational insights into the source of your symptoms while building a powerful set of tools that offer you both immediate relief and cumulative healing.Links: https://www.mindfulnessforamessylife.comAnd: Elizabeth's album, The Weight of Mortal Skin, where she traverses the rocky terrain of the human heart with stories of anguish and aching, revelation and deliverance. http://elizabetherinkemler.com

Victor watched his sister die when he was not yet 4. He has no memories of the 2 years following that event. It took him a long time to discover EFT (Emotional Freedom Technique which is also known as tapping) which he describes as a life changing discovery. Victor Lee Lewis, who can be seen in the film Wrestling Ghosts, shares his insight on healing from severe trauma, discusses the healing powers of EFT and other somatic modalities, and explore the difference or complexity of healing from attachment trauma vs. PTSDBio:Victor Lee Lewis, MA, is the Founder and Director of the Radical Resilience Institute, and Radical Resilience Coaching and Consulting. He is a Progressive Life Coach, trainer, speaker, and social justice educator. His work supports transformative change agents in improving and maximizing their emotional resilience, mental flexibility, and personal performance and effectiveness. Victor brings a unique socially progressive vision to the work of personal growth, personal empowerment, and emotional health. He is a Neuro-Linguistic Programing Master (NLP) Practitioner, an NLP Health Practitioner, an EFT (Emotional Freedom Techniques) Advanced Practitioner, an AAMET-certifed EFT Trainer, a certified NLP hypnotherapist and a resilient and thriving trauma survivor.https://victorlewis.vpweb.com

Cissy "grew up in hell", she says. Hyper-competent and emotionally disconnected, she managed to keep her trauma at bay, until it came crashing in in the form of panic attacks in college. She was diagnosed with PTSD and started therapy, but her redemption came through writing and through mothering her adopted child. Through mothering she realized what she truly missed as a child: to feel safe, to be seen, to be loved. It's not the bad stuff that happened to her that matter the most, it's what was missing. Once she could see that, she could heal.Bio: Cissy White’s goal is to make talk about trauma and healing less clinical and more conversational, less abstract and more accessible. She's currently working at the ACEs Connection as the Northeast Community Facilitator and Parenting with ACEs Community, Manager. She has given national speaking events, and her advocacy and writing have been featured in publications such as the Atlantic, the Boston Globe, Revelist, Ms. Magazine, and Spirituality & Health. She believes the trauma-sensitive movement must be survivor-led and anything that claims to be trauma-informed must be informed by trauma survivors.Links:Health Journeys (Guided Imagery Resources)Belleruth Naparstek, founder of Health Journeys, author of Invisible Heroes: Trauma Survivors and How They HealBernie Siegel, author of Love, Medicine & Miracles ACEs Study-RelatedACEs Connection,ACEs Too High,Childhood Disruptedbook by Donna Jackson Nakazawa and TedTalk on Childhood Traumaby Dr. Nadine Burke Harris

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This week's health news:https://www.marketwatch.com/story/energy-drinks-may-be-linked-to-frightening-side-effects-for-your-heart-2019-05-29 https://www.cnbc.com/2019/05/28/health-paradox-new-us-diabetes-cases-fall-as-obesity-rises.htmlhttps://www.npr.org/sections/health-shots/2019/05/28/727661899/playing-teen-sports-may-protect-from-some-damages-of-childhood-trauma https://www.sciencealert.com/burn-out-is-now-officially-recognised-as-a-legitimate-syndrome-by-the-world-health-organisation

In this podcast interview, we speak with neuroscientist and physician Leanna J. Standish, ND, PhD, LAc, FABNO, about her naturopathic oncology research. Standish has been involved in original research at Bastyr University since 1987, where she continues to teach and serve patients. We discuss the research she's currently working on—the Canadian US Integrative Oncology Study (CUSIOS)—and its focus on understanding how integrative oncology care affects outcomes for people with certain advanced cancers. In addition, we discuss the use of psychedelic drugs like psilocybin in cancer care—especially for people who have a history of trauma. About the Expert Leanna J. Standish, ND, PhD, LAc, FABNO, is a neuroscientist and physician living in Seattle. She has faculty appointments in the University of Washington School of Medicine Radiology Department, the University of Washington School of Public Health, and Bastyr University. She is working toward obtaining approvals to conduct ayahuasca clinical studies in the United States. She uses functional magnetic brain imaging to study brain-to-brain communication and the ‘entangled minds’ hypothesis. As a physician she specializes in naturopathic oncology, with special interest in the treatment of stage 4 cancer. Standish earned her PhD in neuroscience/biopsychology from the University of Massachusetts in 1978, her ND from Bastyr University in 1991, an MS in acupuncture and Oriental medicine from Bastyr University in 1994, and became board-certified in naturopathic oncology in 2006. Transcript Tina Kaczor: Hello, I'm Tina Kaczor, Editor-in-Chief here at the Natural Medicine Journal. I'm talking today with Dr Leanna Standish about ongoing original research in naturopathic oncology. Dr Standish is a neuroscientist and naturopathic physician with a master's in acupuncture and Oriental medicine and board certification in naturopathic oncology. She's been involved in original research at Bastyr University since 1987, where she continues to teach and serve patients. Dr. Standish, thank you so much for joining me. I want to go- Leanna Standish: Hi, can I just say hi to everybody and especially you, Dr Kazcor, and just express how delighted I am to talk to all of you. Kaczor: Yes, and so yeah, it's very exciting to have you one on one to get to know a little bit of what's going on in the front lines of research specifically. What prompted this was your update at the recent oncology conference. The Oncology Association of Naturopathic Physicians had their annual conference in February where you spoke. I'd like you to kind of start at the beginning. What was really compelling is some of the research on both non-small and small cell lung cancer as well as breast cancer studies. So, if you could kind of update us about a little bit of what ... update us on what's going on with your research in those areas. Standish: Yes. Well, since 2009 working at Bastyr University with Paul Anderson, we started collecting data on survival outcomes in our advanced cancer patients and have a big enough database that we can start summarizing survival outcomes, which is I think of great interest to both patients and their physicians. What we found, our first study was in breast cancer, stage 4 breast cancer, that our median overall survival in our patients, they were 54 consecutive women with breast cancer. The median overall survival is 47 months. When I first got those data, I was very upset because it means that half of my patients were dead at 47 months. But then I thought, well, how does that compare to other studies that were being published at the same time that we were doing our work? What we found is that the best study that we could find in terms of median overall survival in stage four breast cancer was an Abraxane trial that happened in the early part of the 2000s. Just getting some tea here, hold on. That study showed a median overall survival of 36 months. So the conclusion to me was yeah, this is an uncontrolled study. The kinds of patients that we see are the kind of people that are very proactive. They may be survivors just in their very being, but in any sense that you can think about this, that those are pretty good results in advanced cancer. Then we did a similar study in advanced non-small cell lung cancer, and that was with 18 consecutive patients, stage 3 and 4, and the median overall survival there was 43 months. Then we surveyed the literature and did a systematic, I should say systematized review to find that the median overall survival for all the chemotherapy drug trials and even the new immunotherapies that were coming out in just the last say 5 years, the median overall survival of all those studies when averaged together was only 13.3 months. It's kind of astounding to me how poor results in advanced cancer continue to be. That's the summary. Just one more thing I want to say is that this is why we started the Canadian and US study of integrative oncology outcomes. This is 12 clinics all over Canada and the United States that are doing what we call advanced naturopathic oncology, and we're tracking survival and treatment data from 400 people. That probably will be published, it will probably be at 2 years before that study is published. Kaczor: Are there any intermediate points where you've looked at that data? Do we have any idea of what's gong on with that study? Standish: Which study do you mean? CUSIOS? Kaczor: Yeah, that last one you just mentioned, which I think you called- Standish: Yeah, we called CUSIOS, so Canadian US Integrative Oncology Study. What we know is that we've been able to recruit. We're about 85% done recruiting the 400 patients. We have a good diversity of the patients that we recruited for, which was stage 4 breast cancer, stage 4 colorectal cancer, and stage 3 and 4 pancreatic cancer, and stage 3 and 4 ovarian cancer. We wanted to narrow our study to those 4 conditions. We're recruiting. We're able to collect death data, and the most exciting and problematic thing is what do you compare our naturopathic oncology survival data to? Here I've just talked about a breast cancer study, 53 women, their median overall survival is 47, but what does that mean? Compared to what? Right now there is a tremendous amount of intellectual work going on at Bastyr University and also at Canadian College to figure out what the best statistical method is, and fortunately we've been able to collaborate with some very sophisticated big data scientist with statistical ability that have access to this marvelous database in Canada. We will be able to use the SEER database too, and what we're doing is trying to figure out how to match naturopathic oncology cancer patients to patients that are just like them in these registries and then watch them over time with the hard endpoint of date of death. We're also of course very interested in quality of life. We're also interested of course in what therapies each patient got, not only what they were recommended, but also what therapies they received. For example we're tracking Dr Gurdev Parmar's clinic where they're doing locoregional hypothermia. Another clinic is using mistletoe therapy intensively. Another clinic, such as ours at the Ames Institute in Seattle, we're focusing now on the utilization of what's being called metabolic therapy, which is the idea of the cliché is starving cancer using FDA off label drugs that is all the rage these days, very interesting approach. We're using intravenous vitamin C along with chemotherapy. We've sort of abandoned the idea that as a monotherapy it does much. We're starting to explore the safe use of quercetin as a botanical medicine that really needs to be given intravenously to be bioavailable. But I think the most important thing we're doing is taking seriously the idea that trauma, childhood trauma in particular, is a risk factor for development of cancer. And I'm referring of course to the famous ACEs study, Adverse Childhood Events study, that linked in a dose-dependent way the number of adverse childhood events like neglect, foster child, abandonment by parents, alcoholism, violence, etc., war, that the number of these events is correlated with the risk of cancer later in life. And so we at Ames Institute are saying well okay, if that is an important causal feature of why we get cancer, then let's get to that. We're using now psychedelic assisted psychotherapy to be able to do the deep work that is required to help people heal from posttraumatic stress disorder, which not only can come from childhood, but just the very experience of having cancer, being diagnosed with cancer, going through cancer treatment produces posttraumatic stress disorder. What we're hoping is all these therapies combined are going to improve the median overall survival of our patients. That's what we're doing here in my clinic. Kaczor: Tell me a little bit more about this. Is this low-dose psychedelics? I think we're talking about it here in Oregon from a state level. I think there's going to be actually some kind of referendum vote to see if we can legalize such things here, so I'm curious about this. Standish: Yes. The initiative that will be happening in Oregon in 2020 is about permitting psychotherapists, certified licensed and fully trained psychotherapists, to utilize psilocybin in the treatment of posttraumatic stress disorder and also in end-of-life care. That's very exciting. But in the meantime, right now there are no legal psychedelic drugs available for physicians with 1 exception, and that is ketamine. Ketamine is a drug that comes from anesthesia. It's been very well studied as both an anesthetic, but in low doses, it produces a state of consciousness that some people would describe as psychedelic with a dissolution of the sense of self, a connection with higher realities, a connection with one's ancestry, an ability to do deep work in the presence of a physician and a nurse who are overseeing the treatment. What we've found is a 3-hour ketamine session that's led and facilitated in an excellent way can help enormously relieving the depression and the anxiety that is part of all of our lives, but especially if you've been diagnosed with cancer, and especially if you have the kind of trauma in your childhood that is a risk factor for cancer. Kaczor: Is there already clinical data on the use of this? Standish: On what? I'm sorry, clinical data on what? Kaczor: On ketamine or psychedelics being used in this fashion. Standish: No. What there is, this is translational science, and the reason I love naturopathic oncology is that we are people who take science and translate it into other domains of medicine. We know without a doubt now that the state of consciousness, emotional states and brain states associated with those emotional states, have direct effect on the autonomic nervous system, which has direct effects through a cascade of physiology and biochemistry that affects the behavior of cells in the tumor bed. And there's tons of work on that. Is there work on the use of psychedelics for healing cancer? No, but it will be coming, and I hope that we can show some leadership in that area here in Seattle because I think it's an extremely important area. The reason psychedelics might be important too is that most of them have very strong serotonergic effects. What we've found in immunology is that the kinds of cells that are involved in the immunological response to cancer, T-cells in particular, are loaded with serotonin receptors. It is not a far stretch to imagine that one of our future immunotherapies will be psychedelics, and there's now kind of a rage around doing low dose psychedelics, all of which are considered by the drug enforcement agency to be controlled substances, but there's huge interest in this field. Most of us have probably seen Michael Pollan's new book How to Change Your Mind. Kaczor: Yes, yeah. It's a fascinating read. It definitely had more data behind the use of it for emotional states than I had ever realized before reading that book. So let me ask you this because our listeners are often clinicians themselves. Sometimes they are the lay public. In any case, if people want to look further to see if they are appropriate to enter a study or they have patients that might be appropriate, because what I hear you saying is some of these tough-to-treat cancers, whether it's stage 4 disease or lung cancer in stages 3 and 4, they're tough to treat, and we all want to help our patients as best we can. So where would someone go to find you or one of the other 14 clinics involved in CUSIOS study? We'll put a link here with the podcast, but otherwise, where do we find you? Standish: Oh, okay. Yes, please to go the Bastyr University website, and look at the research, and then look for CUSIOS [https://bastyr.edu/research/studies/canadianus-integrative-oncology-study-cusios-advanced-integrative-oncology]. Everything is updated there. It's also listed on the national NIH clinical trials .gov site, and all the clinics are listed there [https://clinicaltrials.gov/ct2/show/NCT02494037]. Kaczor: That's great, and I think what we have is more of a full whole-systems research, outcomes-based research is what I hear you saying. All of these are taking into account large plants, not single agents, which is why we often have weak data when we use single agents in our medicine. Kudos for mastering the complexity of figuring out how to get this data going and inform us. Standish: Yeah, I think that one of our fundamental hypotheses is that natural medicines, those that are known and those that are not known yet, have a potential when they're used in the correct sequence and at the right time and in the right patient who has the right genetics and the right epigenetics at the time that you see them, that our therapies have a chance of really extending high quality life and making cancer into what we hoped for AIDS in the old days as a chronic manageable condition. I think that that day is coming, and we're certainly not there yet. That's for sure. Kaczor: Yeah, yeah. I'm excited because I think that we can track the data much better than we have been able to, so that's certainly helps our cause as well. I thank you for carving out some time in your day and speaking with us today and updating us on what's going on. It's all very exciting, and thank you for all of your ongoing work. Standish: Okay, thank you, Tina. Thanks, everybody. See you soon.

There is a growing recognition of the role of trauma, particularly childhood trauma or adverse childhood events on health and health outcomes. Family physician Audrey Stillerman joins Thomas Kim for a two-part series about ACEs and the effects they have on health, and what we as health professionals should know about them. Dr. Stillerman is the Associate Director of Medical Affairs for the University of Illinois Office of Community Engagement and Neighborhood Health Partnerships and the medical director for the School Health Center Program at UI Health as well as at PCC Steinmetz. She is a Clinical Assistant Professor in the UIC Department of Family Medicine. She is board-certified in both Family Medicine and Integrative Medicine; since 1991 she has been providing comprehensive care for the whole family, from babies to senior citizens Dr. Stillerman serves as a steering committee member of the Illinois ACEs Response Collaborative and co-chair of its Health Committee as well as a co-investigator for a multi-site primary care ACE screening project. She is a founding member of the Center for the Collaborative Study of Trauma, Health Equity, and Neurobiology (THEN). She has recommended the following resources for further reading: SAMHSA’s 4 R’s of trauma-informed approached: https://www.samhsa.gov/nctic/trauma-interventions Center for Health Care Strategies 10 key ingredients: https://www.chcs.org/resource/10-key-ingredients-trauma-informed-care/ RWJ Self-Healing Communities: https://www.rwjf.org/en/library/research/2016/06/self-healing-communities.html Center for Center for Collaborative Study of Trauma, Health Equity and Neurobiology (THEN) – www.thencenter.org ACEs Too High: https://acestoohigh.com/ ACEs Connection: https://www.acesconnection.com/ If you enjoy the show, please rate, review & subscribe to us wherever you listen, it helps others find the show. You can write to us at contact@rospod.org or tweet us @RoSpodcast, or leave a message on our facebook page at facebook.com/reviewofsystems.

Sol Behar sits down with UCLA pediatrician and researcher Adam Schickedanz to discuss the impact of Adverse Childhood Experiences on the physical and mental health of children. An adverse childhood experience or event is a stressful or traumatic experience before age 18.  ACEs fall into three categories: 1) abuse, 2) neglect and 3) household dysfunction. ACEs disrupt social connections early in life.     Subscribe to hear the rest of this months program

Niki Gratrix is a leader in healing emotional trauma. This week, I interview Niki on the topic of Adverse Childhood Events, and how trauma can be a large factor leading to Chronic Fatigue. Tune into this podcast to hear: How to achieve optimum energy The types of childhood traumas that leave long-term effects The mechanisms that are affected by trauma How to recover from trauma

Palmer and Miguel are two extraordinary individuals who cured their own MS (Multiple Sclerosis) after all the neurologists told them that their condition was incurable. Miguel was confined to a wheel chair, and Palmer appeared to be headed toward a similar place. Though well proven scientific proven approaches including meditation and self examination, they both proved all the neurologists wrong and no longer have multiple sclerosis or any associated symptoms Listen to learn how they cured their MS.

Palmer and Miguel are two extraordinary individuals who cured their own MS (Multiple Sclerosis) after all the neurologists told them that their condition was incurable. Miguel was confined to a wheel chair, and Palmer appeared to be headed toward a similar place. Though well proven scientific proven approaches including meditation and self examination, they both proved all the neurologists wrong and no longer have multiple sclerosis or any associated symptoms Listen to learn how they cured their MS.

Learning how to cope with adversity is an important part of growing up. However, when adversities in childhood can exceed the child’s ability to manage them there can be negative consequences. Stresses caused by exposure to poverty, neglect, abuse or community violence can alter the developing brain in ways which negatively impact physical and mental health well into adulthood.Such experiences, when not buffered by caring, involved adult caregivers result in a type of neuro-developmental toxicity, changing neural pathways through epigenetic mechanisms.Studies have shown that an alarming number of American children are exposed to or victims of violence involving a weapon. According to one recent study published in the journal Pediatrics, nearly one-third of children in the United States are exposed to violence before the age of 18. The study noted that about 1 in every 33 kids are assaulted with guns and knives during these incidents. Denise Dowd, MD is here to discuss how the psychological and physical effects of these incidents are manifested in many ways and have long term implications on the child’s health.